Individual
LISETTE BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCEP
Contact information
Practice address
8072 BLADES TRL, DENVER, NC 28037-9151
(425) 238-3646
Mailing address
8072 BLADES TRL, DENVER, NC 28037-9151
(425) 238-3646
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
671227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
671227
ACSM
NC
Enumeration date
08/20/2021
Last updated
08/20/2021
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